Comparing the Chronological Distribution of Enamel Hypoplasia in Rogowo,Poland (2nd century ad) Using Two Methods of Defect Timing Estimation

The frequency and chronological distribution of enamel hypoplasias were assessed in a Roman Period population of the Wielbark culture from Rogowo, northern Poland, dated to the 2nd century ad . Hypoplasias were recorded on permanent incisors, canines, and premolars of 52 skeletons. The position of linear defects on the crown surface was measured and then converted to the age of occurrence using two methods: a conventional method that employs the chart of enamel development for the permanent teeth, constructed by Massler et al. (1941) in Swärdstedt's (1966) modification, and the method by Goodman & Song (1999), which corrects for hidden cuspal enamel. Hypoplastic defects were found in 48.1% of examined cases. Linear defects [linear enamel hypoplasias (LEH)] were observed in 38.5% of individuals and in 22% of investigated teeth. The chronological distribution of LEH according to the conventional method revealed two peaks of defects: one at 2.6–3.0 years of age and the other at 4.1–4.5 years of age. The method that accounts for hidden cuspal enamel also provided two peaks, but they occurred at later ages: 3.0–4.0 and 4.6–5.0 years of age. The prevalence of hypoplasia in the Rogowo population in comparison with other European populations of the Roman Period seems to be rather low for both individuals and teeth affected. This may indicate advantageous living conditions, which are supported by archaeological data that suggest general well‐being of the Wielbark people. Copyright © 2011 John Wiley & Sons, Ltd.     

A preliminary study of patterns of replication in Scoring linear enamel hypoplasias

In order to investigate replicability in scoring linear enamel hypoplasias 59 anterior teeth were evaluated by three observers. Hypoplasias were identified with low-power microscopy and by the unaided eye. Location on the tooth was determined through caliper and micrometer measurement as well as assignment to tooth ‘thirds’. Hypoplasia size was determined through measurement of episode width and comparison with a cast designed to categorize types of hypoplasia severity. Intra-observer analysis showed consistent scoring of about 65 per cent of individual hypoplasias between rounds, with high replicability in episode location, size and severity using all methods tested. Inter-observer error was similarly low for episode size and location, but consistent scoring of individual hypoplasias between observer pairs ranged between 21 and 39 per cent. It is likely that the most important factor in the low level of replicability is the slight size of the majority of hypoplasias involved. Thus, the results suggest that further work should be directed toward developing the minimum threshold for scoring episodes. Other issues include measures to control ‘drift’ in scoring procedures over time, and procedures to score large cervical hypoplasias in canines, which can appear as multiple episodes with magnification. Among the various scoring methods tested, determination of episode location was highly replicable using all three techniques. Episode width was also highly replicable using the micrometer, but the cast association proved less successful.     

Problems and pitfalls in the diagnosis of linear enamel hypoplasia in cheek teeth of cattle

Prevalence and intensity of enamel hypoplasia have been used as markers of generalized physiological stress during dental development in a wide range of mammalian taxa. We studied cattle (Bos taurus) cheek teeth exhibiting morphological characteristics that are of relevance to the diagnosis of enamel hypoplasia in this and other bovid species. These characteristics were multiple, more or less horizontally arranged (waveform) lines or grooves in the cementum of the tooth crown and the adjacent root area, leading to an imbricated appearance of the cementum. On macroscopic examination of tooth surfaces, these lines resembled linear enamel hypoplasia (LEH). Microscopic analysis of tooth sections, however, revealed that the lines occurred in the cementum only, and that the underlying enamel did not exhibit morphological irregularities. In cheek teeth of older cattle, a thick cementum layer is regularly found in the cervical crown portion and the adjacent root area. Apposition of this cementum is related to the uplifting of the teeth from their alveoli, a process that compensates for the shortening of the tooth crowns due to occlusal wear. In the studied specimens, a pronounced periodic nature of tooth uplifting and the related deposition of cementum is the likely cause for the observed imbricated appearance of the cementum. While this phenomenon may be misinterpreted as representing a case of LEH, presence of enamel hypoplasia in bovid teeth may be overlooked when the defects become filled with coronal cementum and are therefore not apparent on external inspection. This was the case in one of the cattle teeth analyzed by us, in which the hypoplastic enamel defects were, however, clearly discernible in ground sections. Microscopic analysis of tooth sections is recommended for recording of LEH in bovid teeth in cases where macroscopic examination of tooth surfaces alone does not produce unequivocal results.     

Evaluating sources of variation in the identification of linear hypoplastic defects of enamel: a new quantified method

Assessment and interpretation of the presence of developmental defects of enamel formation that result from childhood experiences of growth disruption, enamel hypoplasia, is a standard part of almost any systematic bioarchaeological assessment. However, different identification methods lead to different results. This study presents a new method of defect identification that offers a quantitative criterion for establishing defect presence rather than relying solely on observer judgement. It then compares this with a standard field approach to assessing enamel hypoplasia and a non-quantified microscopic approach in order to determine (a) if traditional methods of identifying enamel hypoplasia under little or no magnification offer the same information about the experience of childhood health as methods that examine dental enamel growth microscopically, and (b) the effect of using a quantified criterion to identify enamel hypoplasia. A case study using simultaneously developing teeth in one individual is presented where observations of defect presence are made both macroscopically and microscopically and with and without this novel metric method. The results demonstrate that the chosen scale of observation is a critical variable in identifying linear hypoplastic defects of enamel. Defects that occur in the more cervical regions of a tooth are ‘missed’ by methods that rely on macroscopic observation or the unaided visual judgement of the observer. This finding has considerable implications for the interpretation of reported enamel hypoplasia prevalence.     

Developmental Stress in Immature Hominines from Late Pleistocene Eurasia: Evidence from Enamel Hypoplasia

The differences between Middle and Upper Palaeolithic cultures from Europe have been likened to the contrast between generalized and complex hunter–gatherers. A test of this model is undertaken by comparing the types, amount, severity and timing of episodes of enamel hypoplasia between the two periods among specimens from western Europe and the circum-Mediterranean area. The earlier sample consists of 59 dentally immature individuals with 128 primary and 154 permanent teeth while the later sample consists of 47 dentally immature individuals with 162 primary and 125 permanent teeth. It was predicted that the Upper Palaeolithic would show more variation in the attributes noted above as a consequence of increased social differentiation. While the prevalence (50% of individuals) and severity of enamel hypoplasia do not differ between the samples, the Upper Palaeolithic component is significantly more variable in the types and timing of enamel defects. Localized hypoplasia of the primary canine is absent from the Middle Palaeolithic but very common among Upper Palaeolithic children. Earlier work has linked this enamel defect to craniofacial osteopenia due to low bioavailability of vitamin A. Linear enamel hypoplasia peaks at age 3·5 years in the Middle Palaeolithic sample but is as common at age 2·0 as 5·0 years in the Upper Palaeolithic sample. The age distribution differs significantly. Peak age at stress, combining all types of enamel hypoplasia, is 3·5 years in the Middle Palaeolithic and 0·5 years in the Upper Palaeolithic. The major contrast between the Middle and Upper Palaeolithic in terms of enamel hypoplasia is the advent of stressful episodes in early infancy in the Upper Palaeolithic. This is attributed to the low bioavailability of vitamin A due to the synergistic effects of malnutrition and infection exacerbated by a net increase in population density among socially competitive family lineages.     

Protocol for Recording Enamel Hypoplasia in Modern and Archaeological Caprine Populations

This paper outlines the first methodology for recording dental enamel hypoplasia in the high‐crowned dentition of modern and archaeological caprine teeth. The method has been developed and trialed on five caprine populations from Orkney (UK); two modern populations (Shetland and North Ronaldsay breeds) and three Neolithic assemblages from the archaeological sites of Knap of Howar, Skara Brae and Holm of Papa Westray. Problems associated with differential tooth wear, as well as the presence of coronal cementum, are discussed, and recommendations are given on the identification and recording of hypoplastic dental defects in caprines. Copyright © 2012 John Wiley & Sons, Ltd.     

Cultural Changes in Funeral Rites During the Neolithic in the Northeast of the Iberian Peninsula? The Cave of Pantà de Foix (Barcelona)

During the third millennia bc , there is a change in the funerary patterns of the populations in Catalonia. This novelty usually has been usually related to a change in the economical source of the human groups that become less sedentary as the stockbreeding becomes more important. In the present study, we analyse this change, reflected in the mortuary practices, by the study of diet and health markers such as caries, dental calculus or enamel hypoplasias and of biological affinities based on dental non‐metric traits. It has been included a total amount of 317 permanent teeth from Cova del Pantà de Foix sites, a sepulchral cave found at the south‐west of the city of Barcelona and dates from the third millennia bc . The 74.2% of them present dental calculus deposits, which are usually related to a high protein intake. Nevertheless, the high prevalence of carious lesions (15.3% of the teeth) suggests that the main dietary contribution comes from carbohydrates. Furthermore, when this group is compared with one from the Middle Neolithic Age, which presents a lower calculus prevalence, no biological differences are observed. This lack of differences among these groups denote that the origin of the high amount of calculus deposit is environmental, which is consistent with the elevated observation of hypoplasias of the crown enamel. The absence of dietary, biological and economical differences indicates that the population substrate during the Neolithic in Catalonia is the same and that the transition in the funerary rite is related to a substantial change only regarding to mortuary practices. Copyright © 2014 John Wiley & Sons, Ltd.     

Relationship between cribra orbitalia and enamel hypoplasia in the early medieval Slavic population at Borovce,Slovakia

Cribra orbitalia and enamel hypoplasia were examined in an early medieval (8^th to beginning of 12^th century AD) skeletal sample of 451 individuals from Borovce, Slovakia. More than 40% of these individuals died before reaching 20 years of age. The relationship between the occurrence of orbital and enamel lesions was analysed by focusing on the age‐specific distribution, and on its influence on demographic parameters. Both features were found in 11.2% of the observed skulls. The presence of orbital and dental lesions showed a considerable impact on mortality as well as the life expectancy. Generally, the highest mortality was observed among 0–4 year old individuals. The greatest discrepancy in the demographic parameters, however, appeared between the affected and unaffected individuals aged 10–14 and 15–19 years. In these two age groups the co‐occurrence of both lesions was most frequently recorded. These individuals obviously had a history of sickness, and thus could not cope with further bouts of disease and with the increased physiological demands of pubertal growth. The missing correlation in younger age categories can be largely explained by the difficulty of macroscopically examining the permanent dentition, since an interrelationship between the age at hypoplasia development and the occurrence of cribra orbitalia was detected. Several differences between the individuals with enamel defects and both conditions were observed in the distribution of age at hypoplasia formation. According to these results, several factors, such as impaired health status, growth demands and diet, influence the development of enamel hypoplasia and cribra orbitalia in a particular population. It is possible that after reaching a certain threshold, the underlying factors act synergistically in a kind of vicious cycle as the balance between the immune system, metabolism, and exogenous factors such as pathogens and nutrition, is disturbed. Copyright © 2007 John Wiley & Sons, Ltd.     

An Investigation of Possible Fluorosis in Human Dentition Using Synchrotron Radiation

Macroscopic analysis of collections of archaeological human dentition from sites in the United Arab Emirates varying in chronological age and geographical location revealed the presence of enamel defects on the buccal, lingual and occlusal surfaces of some of the teeth. The morphology of these enamel defects suggested a possible diagnoses of fluorosis. Because not all teeth in the samples studied exhibited the defect, a conclusive diagnosis could not, however, be offered. Given that fluoride can enter the crystal lattice of hydroxyapatite (the major mineral component of calcified tissue including bones and teeth), and that the uptake of higher than optimal levels of fluoride can alter the molecular structure of dentition, it was thought that the application of X-ray diffraction to this problem may aid a more conclusive diagnoses. This paper details the application of synchrotron radiation to this problem. Initially, details of the archaeological problem are outlined. This is followed by a discussion of synchrotron radiation and the advantages it has over conventional X-rays. The materials and methods used in the analysis are provided, followed by a discussion of the results. While further work is required to fully attribute the enamel defects to the effects of fluoride, this paper illustrates that synchrotron radiation, in particular X-ray diffraction, can be applied to archaeological materials as a means of quickly and effectively obtaining a structural analysis.     

Diet and Oral Health of Populations that Inhabited Central Argentina (Córdoba Province) during Late Holocene

The aim of this work is to study, from a bioarchaeological perspective, the diet and oral health of the populations that inhabited Central Argentina in two periods which would reflect changes in subsistence strategies: earlier late Holocene (ca. 2500–1500 years BP) and later late Holocene (ca.1500–400 years BP). The sample is composed by 83 adult individuals from 47 archaeological sites. We considered five non‐specific indicators of stress, infectious and degenerative diseases: hypoplasia of dental enamel, dental caries, abscesses, antemortem teeth loss, and calculus. We also considered hypercementosis, dens in dens, and agenesis. We test intraobserver error by means of intraclass correlation coefficient and analysis of variance of repeated measures. We calculated prevalence by sex, age, geographic subregion, and chronological period. We applied Chi‐square (X²) to test statistical significance of observed differences. Considering the sample as a whole, low prevalence of dental caries (10.27%), abscesses (16.52%), and hypoplasia (10.84%) are coincident with values observed for populations with mixed or hunter‐gathering subsistence strategy. In later late Holocene, high incidence of caries should be considered as indicator of consumption of C4 vegetables or other carbohydrate‐rich vegetables, such as legumes of Prosopis sp. Also, moderate values of dental enamel hypoplasia should be related with metabolic‐systemic stress episodes. Summarizing, these results are coincident with isotopic, archaeological, and ethnohistorical evidences which suggest climatic, social, and demographic pressures that might have affected the lifestyle of these populations before the Spanish conquest. Copyright © 2012 John Wiley & Sons, Ltd.     

Investigation of Organic Materials From the ‘Royal’ Burials of Xiongnu (Noin‐Ula,Mongolia) by Srxrf and XAFS Methods

The burials of famous Xiongnu people are a unique source of information about Xiongnu culture, due to the variety of organic findings. SRXRF analysis of hair, clay, bones, teeth and woollen cloth was carried out. An anomalously high copper content was observed in all hair samples, whereas the levels of copper in bone and clay were low. To define the hair morphology and the elemental distribution in the hair cross‐section, high‐resolution X‐ray computed tomography (HRXCT) and energy‐dispersive spectroscopy (EDS) with scanning electron microscopy (SEM) were used. The X‐ray absorption fine‐structure method (XAFS) was applied to determine the local copper environment. The majority of the copper species in the hair and enamel samples are present as Cu²⁺ cations in a distorted octahedral (4 + 2) coordination, surrounded by light ligands (oxygen/nitrogen). A similar distorted octahedral coordination is typical for both inorganic mixed oxide/hydroxide Cu nanosystems and metal–organic Cu complexes (with oxygen/nitrogen).     

Dental evidence of biological affinity and environmental conditions in prehistoric Trentino (Italy) samples from the Neolithic to the Early Bronze Age

The use of teeth in anthropological analyses has always provided valuable information on the subsistence patterns of human communities, as well as the biological relationships among them. The present study analyses the permanent dentition of several diachronically continuing samples from the Trentino alpine region of Italy from the Neolithic to the Early Bronze Age. The study of both metric and non‐metric dental traits show a strong level of homogeneity from the earlier to the later samples, indicating little external biological influence from surrounding areas. However, the evidence of oral pathology and linear enamel hypoplasia highlights a trend of increase in defects, particularly between the Neolithic and the Copper Age. This has been ascribed to a shift towards more intense agricultural activities and pastoralism, that led to a change in diet and to an increased sedentism. Copyright © 1999 John Wiley & Sons, Ltd.     

Linear Enamel Hypoplasia and Age‐at‐Death at Medieval (11th–16th Centuries) St. Gregory's Priory and Cemetery,Canterbury, UK

Linear enamel hypoplasia (LEH) is a macroscopically detectable band‐like dental defect, which represents localized decrease in enamel thickness caused by some form of disruption to a child's health. Such dental deformations are utilized in osteoarchaeological research as permanent markers of childhood physiological stress and have been extensively studied in numerous ancient human populations. However, currently there is no such data for medieval populations from Canterbury, UK. Here, LEH is examined in the context of age‐at‐death in human burials from the medieval St. Gregory's Priory and adjacent cemetery (11^th–16^th centuries), Canterbury, UK. The cemetery and Priory burials represented lower (n = 30) and higher status (n = 19) social groups, respectively. Linear enamel hypoplastic defects were counted on mandibular and maxillary anterior permanent teeth (n = 374). The age and sex of each skeleton were estimated using standard methods. Differences in LEH counts, age‐at‐death, and LEH formation ages were sought between the two social groups. Results indicate significantly greater frequencies of LEH in the Cemetery (mean = 17.6) compared to the Priory (mean = 7.9; t = −3.03, df = 46, p = 0.002). Adult age‐at‐death was also significantly lower in the Cemetery (mean = 39.8 years) compared to the Priory burials (mean = 44.1 years; t = 2.275, df = 47, p = 0.013). Hypoplasia formation ages differed significantly between the Priory (mean = 2.49 years) and Cemetery (mean = 3.22 years; t = 2.076; df = 47; p = 0.034) individuals. Results indicate that childhood stress may reflect adult mortality in this sample, and that the wellbeing of individuals from diverse social backgrounds can be successfully assessed using LEH analyses. Results are discussed in terms of the multifactorial etiology of LEH, as well as weaning‐related LEH formation. Copyright © 2012 John Wiley & Sons, Ltd.     

A Case of Early Childhood Caries from Late Roman Ancaster,England

This paper presents a differential diagnosis of pathological changes observed in the deciduous dentition of a child aged 3–4 years, recovered from a Late Roman (c. ad 270–410) cemetery at Ancaster, England. The entire maxillary dentition exhibited areas of missing enamel and erosion of the underlying dentine, which was most pronounced at the lingual surfaces of the anterior teeth, and lingual and occlusal surfaces of the molars. Additionally, the mandibular second molars and mandibular right first molar displayed superficial enamel erosion of the buccal surfaces. Radiography indicated normal enamel density, and no further dental pathology was identified. Conditions considered in a differential diagnosis included amelogenesis imperfecta, fluorosis, perimolysis, xerostomia‐related caries and early childhood caries (ECC). The nature and distribution of lesions implicates ECC – also known as ‘nursing caries’ or ‘baby‐bottle caries’ – as the most probable diagnosis. The potential significance of the findings for studies of infant health and feeding practices in past populations is discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

The necropolis of Vallerano (Rome, 2nd–3rd century AD): an anthropological perspective on the ancient Romans in the Suburbium

The present study investigates the skeletal remains of individuals who were part of a Roman suburban community, in order to assess lifestyle and living conditions in the town's outskirts during the Roman Imperial age. The existence of the community was linked to the functioning of one of the many villas that surrounded the town of Rome at that time. In order to assess health, several indicators were explored, including mortality, oral pathologies and specific (cribra orbitalia) and aspecific (linear enamel hypoplasia) indicators of nutritional and physiological impairment. The sample, which probably represents the labour force of the villa, shows a high number of individuals dying in the early adult age and very few living beyond 50. Subadults were frequently affected by pathological conditions which may indicate anaemia and/or inflammations and infections, as witnessed by the frequency of cribra orbitalia. Growth was also impaired, as the individuals suffered from systemic disturbances during the early years of life that led to the formation of linear enamel hypoplasia (LEH) in their teeth. Frequency of LEH is very high, as well as its multiple occurrence through time (2.44 defects per individual) and its onset occurs from the earliest age classes. Diet, on the other hand, does not seem to have been particularly carbohydrate based. Oral pathologies are very low, which is consistent with meat consumption complementing a diet rich in low‐calorific products of agriculture and seemingly low in refined carbohydrates. Copyright © 2005 John Wiley & Sons, Ltd.     

Why did the ancient inhabitants of Palmyra suffer fluorosis?

The skeletal remains uncovered from the 2nd and 3rd century underground tombs of Palmyra, Syria, retain traces of arthritis and mottled enamel. A brown discoloration was also observed in the teeth. In order to clarify that these facts can be related to fluorosis, the teeth excavated from Tomb C and F in the Southeast Necropolis were analyzed. The fluoride contents of the fluorosis-suspected teeth (0.56 ± 0.16% (n = 7)) were higher than those of normal teeth (0.16 ± 0.18% (n = 7)). The highest content (0.85%) proved that 22% of the hydroxide in apatite was substituted by fluoride. The fluoride concentrations of the natural water including deep well water available today in this area ranged from 0.3 to 3.0 mg l⁻¹. The highest fluoride concentration was found to be regulated by the dissolution equilibrium of fluorite, CaF₂, through the process of evaporation and concentration in this arid region. Because of the common ion effect by calcium ions in a high concentration, the fluoride concentration was lower than that expected from the solubility product of fluorite (8.2 mg l⁻¹). The mechanism of this process has probably remained unchanged since ancient times and therefore the drinking water used by the ancient people of Palmyra was estimated to contain fluoride at a level causing fluorosis.     

Cribra orbitalia,sinusitis and linear enamel hypoplasia in Swedish Roman Iron Age adults and subadults

Maxillary and frontal sinusitis, cribra orbitalia and linear enamel hypoplasia were recorded as indicators of nutritional and environmentally related stress in an Early Iron Age (0–260 AD ) population from Sweden. The material comprised the skeletal remains of 99 adults and 45 subadults (aged 20 years and under). Maxillary sinusitis and cribra orbitalia were recorded in the majority of subadults and adults. In contrast, linear enamel hypoplasia was uncommon and occurred mainly in the subadults. In seven cases (12.7%) there was a clear co‐occurrence of periapical lesions and maxillary sinusitis. A significant co‐occurrence of maxillary sinusitis and frontal sinusitis was found in the adults. The least common combination in sex‐determined adults was cribra orbitalia and enamel hypoplasia, only 7.7% exhibiting both lesions. The significantly higher incidence of this combination among subadults suggests an association with life‐threatening conditions. Overall, the results showed that the Early Iron Age community studied suffered foremost from upper respiratory diseases. Copyright © 2010 John Wiley & Sons, Ltd.     

Reconstructing dietary and environmental history from enamel isotopic analysis: time resolution of intra‐tooth sequential sampling

The carbon and oxygen isotopic composition of the mineral phase of tooth enamel is linked to diet and environment. Enamel is not remodelled once formed. Several studies of intra‐tooth isotopic variability in hypsodont mammal teeth have involved sequential sampling of enamel in order to detect changes in diet and environment during tooth formation. The possibility of exploring individual history opens the door to many applications, particularly in palaeoenvironment and herd management reconstruction. However, previous histological investigations have shown that enamel mineralization is a progressive and discontinuous process. The goal of the present study is to determine if this pattern significantly influences the time resolution of an intra‐tooth sequential sampling. Isotopic analyses (δ¹³C) were performed on tooth enamel from steers (Bos taurus) that had changed from a C₃ plant‐based diet to a C₄ plant‐based diet with very different carbon isotopic compositions. The change of diet was reflected in the mineral phase of enamel. The pattern of intra‐tooth isotopic variation suggests that completion of enamel mineralization required six to seven months. Such a lag in enamel mineralization will decrease the time resolution of enamel sequential sampling. The effects of prolonged mineralization of enamel have to be considered when interpreting patterns of intra‐tooth isotopic variations. Copyright © 2002 John Wiley & Sons, Ltd.     

Health Consequences of European Contact in the Great Plains: A Comparison of Systemic Stress Levels in Pre‐ and Post‐Contact Arikara Populations

The biocultural effects of European contact varied considerably throughout the Americas. Some populations were decimated by colonialism, while others benefited from trade relationships and access to new technologies. It has been suggested that initial contact with European fur traders and explorers was economically favourable for Plains village populations, thereby facilitating a period of cultural florescence. In this study, we evaluate the hypothesis that Plains groups were better off than their predecessors during the initial contact period by comparing frequencies of enamel hypoplasia, cribra orbitalia, and porotic hyperostosis in pre‐ and post‐contact Arikara skeletal assemblages. We included both juveniles and adults in our sample to capture variation in the stress experience of different segments of the population. Our analysis revealed similarly low frequencies of cribra orbitalia in the pre‐ and post‐contact groups and no observed cases of porotic hyperostosis. Enamel hypoplasia, however, was significantly more prevalent among post‐contact Arikara villagers when compared to their pre‐contact counterparts, which suggests that stress levels were higher after European contact. Additionally, enamel hypoplasia was most common among post‐contact juveniles. The elevated frequency of enamel hypoplasia in the post‐contact sample combined with the low frequencies of cribra orbitalia and porotic hyperostosis suggests that disease stress, rather than nutritional deficiencies, was likely responsible for the decline in overall health following European contact. These results also suggest that juveniles are sensitive indicators of systemic stress within a population and should be included in bioarchaeological analyses of prehistoric health when available. Copyright © 2015 John Wiley & Sons, Ltd.